Journal ArticleDOI
The prevalence of undiagnosed protein-calorie undernutrition in a population of hospitalized elderly patients.
Morten Mowé,Thomas Bøhmer +1 more
TLDR
The extent to which patients with objective signs of malnutrition had been diagnosed as such by physicians and the diagnosis documented in the medical record was determined.Abstract:
Objective: To determine the extent to which patients with objective signs of malnutrition had been diagnosed as such by physicians and the diagnosis documented in the medical record.
Design: Cross-sectional.
Subjects: All non-critically ill patients (n = 121) aged 70 years or older admitted to an Oslo hospital during a 3-week period.
Methods: Compared problem list and other elements of the medical record with observations of height, weight, triceps skinfold, midarm circumference, and arm-muscle circumference made on first weekday in hospital. Serum albumin available on 66 subjects.
Main Results: Nine patients had weight/height ratios below 60% of normal, 16 patients between 60% and 75%, and 41 patients between 74% and 90% of normal. Of these 66 patients, only 24 were recognized as malnourished on admission, only five received nutritional support, and none was diagnosed as having malnutrition at the time of discharge.
Conclusions: Malnutrition is underdiagnosed and under-treated. The consequences of this are likely to be deleterious to health.read more
Citations
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Journal Article
The Mini Nutritional Assessment (MNA) review of the literature--What does it tell us?
TL;DR: The MNA® short-form (MNA®-SF) was developed and validated to allow a 2-step screening process as mentioned in this paper, which is sensitive, specific, and accurate in identifying nutrition risk.
Journal ArticleDOI
Identifying the elderly at risk for malnutrition. The Mini Nutritional Assessment.
TL;DR: The MNA-SF is a simple, noninvasive, well-validated screening tool for malnutrition in elderly persons and is recommended for early detection of risk of malnutrition as discussed by the authors.
Journal ArticleDOI
Hepatic proteins and nutrition assessment
TL;DR: Compelling evidence suggests that serum hepatic protein levels correlate with morbidity and mortality, and they help identify those who are the most likely to develop malnutrition, even if well nourished prior to trauma or the onset of illness.
Journal ArticleDOI
In 1995 a correlation between malnutrition and poor outcome in critically ill patients still exists.
TL;DR: The conclusion that patients' outcome is adversely affected by a poor nutritional status is not new or startling, malnutrition continues to be a persistent problem in hospitalized patients, which can be readily identified using simple and easily available indices and, furthermore, readily treated.
Journal ArticleDOI
'Malnutrition Universal Screening Tool' predicts mortality and length of hospital stay in acutely ill elderly.
TL;DR: In those who cannot be weighed, a higher prevalence of malnutrition and associated poorer clinical outcome supports the importance of routine screening with a tool, like ‘MUST’, that can be used to screen all patients.
References
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Journal ArticleDOI
Prevalence of malnutrition in general medical patients.
TL;DR: Compared with a similar survey among surgical patients, the medical patients were more depleted calorically but had better protein status (arm-muscle circumference, serum albumin) than the non-medical patients, which is likely to be associated with diminished cell-mediated immunity.
Journal ArticleDOI
Protein Status of General Surgical Patients
TL;DR: In a survey of the protein nutritional status of all patients on the surgical wards of an urban municipal hospital, accepted standards indicated moderate to severe protein-calorie malnutrition in one half of these patients as judged by triceps skin fold and arm muscle circumference measurements.
Journal ArticleDOI
Percentage of weight loss: basic indicator of surgical risk in patients with chronic peptic ulcer
TL;DR: The general mortality rate among patients suffering from peptic ulcer has been materially reduced by surgical care and further observations on the sequence of events leading to this sustained rate are presented.